ChayanM/MIMIC-MultiView-Findings-Query · Datasets at Hugging Face

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Cardiac silhouette size is mildly enlarged, increased in the interval. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.

history: <unk>f with right back pain

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Frontal ap and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is normal. Cardiac and mediastinal silhouettes are normal. Increased density in the right hilum is likely due to lymphadenopathy seen on ct <unk>, unchanged. Widening of the acromioclavicular joints is similar since at least <unk>. No displaced rib fracture is seen. An anchor in the left humoral head is noted.

<unk>-year-old man with fall.

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Frontal and lateral views of the chest. The heart size is top normal. The mediastinal contours are otherwise unremarkable. Pulmonary vascular markings are prominent, consistent with vascular congestion. No focal consolidation, pleural effusion, or pneumothorax.

cough, shortness-of-breath, and renal failure.

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There continue to be small to moderate bilateral pleural effusions with bilateral lower lobe volume loss/infiltrate

<unk> year old man with bibasilar infiltrates // eval with better <num> view

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Compared with the prior study, lung volumes are lower, in the tip of the right hd line appears that been advanced slightly, given differences in patient rotation. A new faint, hazy opacity in the left lower lung abutting the left heart border is concerning for a developing pneumonia. No larger pleural effusions. No pneumothorax. Cardiac and mediastinal silhouettes otherwise stable.

<unk>f w/labile vital signs, unable to provide history. evaluate for occult pneumonia.

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Right basilar opacity could represent atelectasis or pneumonia. There is no effusion or pneumothorax. The pulmonary arteries and azygos vein are enlarged. Cardiomegaly is similar to <unk>. There is irregularity of the superior endplate of a lower thoracic vertebral body, seen on lateral view. No free air below the right hemidiaphragm is seen.

history: <unk>m with chest pain // eval for structural process

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Mild enlargement of cardiac silhouette is unchanged compared to the prior study. Aortic knob is calcified. The mediastinal and hilar contours are within normal limits. No pulmonary edema is present. The lungs are hyperinflated compatible with history of copd. Small bilateral pleural effusions are noted, with minimal streaky opacities in the lung bases compatible with atelectasis. No pneumothorax is present. No acute osseous abnormalities identified.

copd, chest tightness.

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A left picc line is with the tip in the lower svc. The moderate cardiomegaly is unchanged from prior exam. Previously identified opacities have resolved with no new focal consolidation. Previous pulmonary vascular congestion has also improved. There are no pleural effusions or pneumothorax.

all and pneumonia, evaluating resolution of previous pneumonia.

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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. No acute osseous abnormality is identified.

<unk>-year-old female with relapsed t-cell lymphoma, presents with sudden onset of nausea, vomiting. question cardiomegaly.

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Heart size is top normal. The aorta remains mildly tortuous. Mediastinal and hilar contours are normal otherwise. Lungs are clear and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.

history: <unk>f with seizure

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with chest pain // ?acute cp process

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Since the radiographs obtained <num> days prior, there has been a significant decrease in the size of the right pleural effusion, though it is still at least moderate in size and tracks up the right mediastinal border. There is atelectasis of the inferior right upper lobe with hyperexpansion of the right middle lobe. No pneumothorax. Left lung is fully expanded and clear without focal consolidation or pleural effusion. Left cardiomediastinal and hilar silhouettes are normal.

<unk> year old man with dimished r breath sounds s/p therapeutic thoracentesis // pneumothorax? reexpansion effusion

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As compared to prior chest radiograph from <unk>, an opacity seen in the left mid lung zone has improved. There are no new focal consolidations, pleural effusions or pneumothorax. The heart is substantially enlarged, with enlargement of the left atrium. There is substantial tortuosity of the aorta.

<unk>-year-old female patient with cough, on levaquin for pneumonia. study requested for evaluation of infiltrates.

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The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is noted.

history: <unk>m with syncope, hyponatremia // please evaluate for infectious pathology

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The large left pleural effusion is decreased as evidenced by significantly better visualization of the left hemidiaphragm which was previously silhouetted by the pleural effusion. Significant opacification of the left chest is still present and likely represents a combination of remaining moderate-to-large pleural effusion and atelectasis. The right lung appears well expanded and clear. No pneumothorax is present.

left upper lobe pleural effusion status post left upper lobe lobectomy. the patient has mild dyspnea on exertion and dry cough. status post thoracentesis.

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The heart size is normal. The hilar and mediastinal contours are normal. Note is made of an enlarged right thyroid goiter. The patient is status post median sternotomy and cabg as before. The aorta is mildly tortuous. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.

history of chest pain. please evaluate for acute process.

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There is mild cardiomegaly. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are adequately expanded and clear without focal consolidation concerning for pneumonia. There is no pulmonary edema.

<unk>f with dyspnea, chest pain, recent <num> hour bus ride, calf tenderness..

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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. A left upper extremity access picc line terminates in the upper svc. Bony structures are intact. Note is made of clips and ivc filter in the upper abdomen.

<unk>f with picc requiring placement conf. . assess picc placement.

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As compared to the previous radiograph, one of the two left-sided chest tubes has been pulled. There is no evidence of pneumothorax. An area of minimal pleural effusion, atelectasis, and pleural thickening is seen in unchanged manner in the left mid and lower lung. No evidence of tension. Normal size of the cardiac silhouette. Normal appearance of the right lung.

status post vats, evaluation for interval change.

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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

history: <unk>m with substernal chest pain // eval for chf/pneumonia

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Frontal and lateral views of the chest demonstrate clear lungs bilaterally. The mediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax identified. Visualized osseous structures are unremarkable.

<unk>-year-old male with chest pain.

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Opacity in the left lower lobe appears chronic. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

history: <unk>f with calcaneal fracture // preop

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Pa and lateral images of the chest. The lungs are well expanded. Atelectasis is seen in the right bilateral lung bases. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged. Known tracheal stenosis is noted.

tracheal stenosis and shortness of breath, now requiring assessment for pneumonia.

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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are stable and within normal limits.

<unk>-year-old female with cough and fever, pregnant.

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Patient's condition require examination in sitting upright position using ap frontal and left lateral views. Comparison is made with the next preceding similar study of <unk>. Size and configuration unchanged. Again moderate general widening of the thoracic aorta with some calcium deposits in the wall as before. Pulmonary vasculature is not congested presently. The on previous examination identified scattered small patchy basal infiltrates have regressed, but have not resolved completely. The lateral pleural sinuses are free, however, the right-sided posterior pleural sinus appears to be somewhat blunted as seen on the lateral view. No new pulmonary abnormalities are identified.

<unk>-year-old female patient with pneumonia, compare with prior films and evaluate for possible resolution.

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<num> views of the chest demonstrate moderate cardiomegaly with a left ventricular predominance, warranting emergent workup. The lungs are clear. The hilar and mediastinal contours are within normal limits. No pleural effusion or pneumothorax.

chest pain.

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Ap frontal and lateral radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomegally is mild. There are no abnormal cardiac and mediastinal contours. A pen external to the patient projects over the left axilla.

dizziness and weakness.

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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal silhouette and hilar contours are normal. Bibasilar opacities likely reflect atelectasis. No pleural effusion or pneumothorax.

fever and cough, evaluate for pneumonia

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Mild bibasilar atelectasis is noted. Chronic elevation of the right hemidiaphragm is unchanged. The cardiomediastinal silhouette and hilar contours are unremarkable. No pneumothorax, pulmonary edema, or pneumonia.

<unk> year old woman with chronic cough // r/o mass

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There has been interval placement of a right chest pigtail catheter with interval significant decrease in right-sided pneumothorax with possible only sliver remaining. There has been re-expansion of the right lung of previously seen atelectasis has essentially resolved. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with traumatic r ptx // eval chest tube placement, ptx resolution

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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable chest examination obtained <num> hours earlier during the same day. Heart size is unchanged and remains normal. Thoracic aorta unremarkable. No mediastinal abnormalities are present. Several linear densities on the left base and mild blunting of the pleural lateral sinus is present as before and coincides with the previously described local chest wall emphysema related to stab wounds and surgical repair. The amount of chest wall emphysema present reaches up to the axillary area and appears to be stable in comparison with the next previous portable chest examination. As before, some local strands of chest wall emphysema are overlying the apical area, but there is no conclusive evidence for any apical pneumothorax. Thus, both lungs remain well aerated.

<unk>-year-old male patient status post left flank stab wounds and left pneumothorax. perform images in standing to assess for interval change.

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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.

<unk>m with <num> week cp left side // r/o pneumothorax

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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.

chest pain.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

history: <unk>m with chest pain // acute pulm process

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Frontal and lateral views of the chest are obtained. There is mild-to-moderate interstitial edema. Bibasilar atelectasis may also be present. The cardiac silhouette is mildly enlarged. On the frontal view, there is an ill-defined somewhat rounded opacity in the lateral right mid-to-lower lung, difficult on this study to discern whether osseous or pulmonary in nature due to the overlying soft tissue. Consider oblique views or outpatient ct for further evaluation. No definite focal consolidation is seen. No pleural effusion or pneumothorax. Cardiac silhouette is enlarged. Rhere is suggestion of old anterior right seventh rib fracture.

history of pneumonia. prescribed zithromax, but did not take meds, question pneumonia.

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The cardiac, mediastinal and hilar contours are within normal limits. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.

asthma exacerbation.

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There is mild cardiomegaly which is unchanged. The mediastinal silhouette is normal. There is a small opacification of the right lower lobe which may represent residual pneumonia seen on previous studies though the right upper lobe has completely resolved. There are no pleural effusions or pneumothorax.

<unk> year old man with cough x <num> days, h/o pna <unk> // r/o pna

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Chronic lung changes such as left lower lobe and right lower lobe atelectasis are again noted. There is, however, no evidence of focal consolidation concerning for pneumonia. Cardiac size is top normal. The vasculature is engorged compared to the <unk> study. There is no pleural effusion or pneumothorax.

fever, question pneumonia.

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As compared to the previous radiograph, the patient shows increased opacities with bronchocentric distribution in both the lower lobes, the middle lobe and the lingula. The changes could reflect bronchopneumonia or infectious bronchitis. The findings were immediately communicated by wet read at the time of image acquisition and first detection. Healed right rib fractures with minimal adjacent pleural thickening. Normal size of the cardiac silhouette. No pulmonary edema. No pleural effusions.

obstructive breathing, cough and shortness of breath, rule out pneumonia.

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Patient is rotated somewhat to the left. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable. Central pulmonary vascular engorgement is seen. No overt pulmonary edema. Degenerative changes are again seen along the spine, although not well assessed on this study.

history: <unk>f with dyspnea // eval for acute process

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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size is normal. Atherosclerotic calcifications are demonstrated at the aortic knob. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities are present.

history: <unk>m with intracranial hemorrhage from outside hospital, chest pain

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As compared to the previous radiograph, a pre-existing relatively extensive left pleural effusion has completely resolved. At the level of the left and right costophrenic sinus, minimal pleural scarring is still seen, slightly more extensive on the left than on the right. The lateral radiograph additionally reveals flattening of the hemidiaphragms, indicative of moderate overinflation. The lung parenchyma appears normal. There is no pulmonary edema and no focal area of increased radiodensity, potentially suggestive of pneumonia. No lung nodules or masses. Borderline size of the cardiac silhouette with minimal tortuosity of the thoracic aorta. No pneumothorax.

cough for three weeks.

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Linear opacities are projecting over the right middle lobe which correspond to an area of bronchial thickening and abnormal soft tissue seen on prior ct. The left lung is clear. The cardio mediastinal and hilar contours are normal. The pleural surfaces are normal. Degenerative changes of thoracic spine are stable.

<unk> year old man with above - please page with wet <unk> #<unk> // new onset hemoptysis

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Frontal and lateral views of the chest demonstrate markedly decreased lung volumes, accentuating bronchovascular crowding. The heart is normal in size. There is no pneumothorax or large effusion. No confluent consolidation is seen to represent infection, particularly given the lateral view.

<unk>-year-old female with chest pain. question infection.

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The cardiac, mediastinal and hilar contours appear unchanged. The heart is mild to moderately enlarged but unchanged. Fissures are minimally thickened. There is no pleural effusion or pneumothorax. A diffuse moderate interstitial abnormality appears very similar to the prior studies. No superimposed acute focal abnormality is identified. There has been no definite change.

shortness of breath.

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Post-sternotomy and valve replacement changes are present. The heart size is at the upper limits of normal limits similar to prior exam. The mediastinal and hilar contours are within normal limits. The lungs are clear of consolidation or pulmonary edema. There is no large pleural effusion or pneumothorax. Degenerative changes are present throughout the thoracic spine, primarily in the form of anterior osteophytes.

<unk>-year-old female with history of cabg and a history of chf, now with cough and myalgia.

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The lungs are hyperinflated consistent with underlying emphysema. There is no focal airspace consolidation, pleural effusion, pulmonary edema or pneumothorax. A faint nodular opacity overlying the left eighth posterior lateral rib is felt to represent a nipple shadow rather than a pulmonary nodule. Comparison to old studies would be helpful. In their absence, followup imaging with nipple markers performed. In addition, however, there is a <num> cm nodular opacity at the right apex for which comparison to outside radiographs to assess for stability is recommended. If outside studies are not available, further imaging evaluation with ct should be considered. Heart size is normal. No acute osseous abnormalities identified. There is eventration of the right hemidiaphragm.

<unk>m with cough, r/o pneumonia // <unk>m with cough, r/o pneumonia

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Pa and lateral views of the chest provided. There is a persistent tiny right apical pneumothorax. In addition, there is a moderate in size loculated appearing posterior hydropneumothorax. No significant residual left pleural effusion. Persistent right lower lung opacity could reflect atelectasis, difficult to exclude pneumonia.

<unk>f with right apical pneumo // ? worsening ptx

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Lung volumes are low oxygen accentuating the heart size as well as result in crowding of the bronchopulmonary vasculature. Heart size is normal with unchanged post-surgical mediastinal contour. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.

chest pain.

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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.

<unk>f with cough, frequency, back pain, chest pain, fever <num>.<unk>f. pls eval for pneumonia // <unk>f with cough, frequency, back pain, chest pain, fever <num>.<unk>f. pls eval for pneumonia

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The cardiac, mediastinal and hilar contours appear unchanged including moderate tortuosity of the aorta. There is moderate-to-severe relative elevation of the right hemidiaphragm as before. Streaky opacification associated with the elevated right hemidiaphragm would be compatible with chronic atelectasis. In addition, however, there is medial left basilar streaky opacity in the retrocardiac region, for which atelectasis could be considered versus pneumonia in the appropriate setting. Lastly, there is a focal new left mid lung opaciy, potentially a focus of bronchopneumonia. Background mild interstitial abnormality is unchanged and may be associated with slight congestion, although atypical infection could be considered in the appropriate setting.

chest pain and dyspnea.

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The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart size is normal. The mediastinal contours, hila, and pleura are unremarkable. Mild dilatation and tortuosity of the descending aorta, stable since at least <unk>. No acute osseous abnormality.

<unk> year old woman with incidental finding of new cardiomegaly on cxr at<unk> hosp s/p fall. repeat to confirm and compare with old films here. evaluate for cardiomegaly.

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Compared to most recent prior exam, there has been no significant interval change. Diffusely distributed pulmonary nodules are again seen, better evaluated on ct dated <unk>. Small changes in size and number cannot be evaluated with radiography. The study is limited by profound volume loss, particularly when compared to <unk>. Small pneumonia or even superimposed edema cannot be excluded in this setting. There is persistent elevation of the right hemidiaphragm with right lower lung atelectasis, which is slightly improved compared to prior. No pleural effusion or pneumothorax is seen. Heart and mediastinal contours are within normal limits. A right-sided port-a-cath is in similar position.

<unk>-year-old female with history of metastatic disease, now with hypoglycemia.

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The lungs are clear without consolidation. Vascular engorgement is stable without evidence of overt pulmonary edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart remains moderately enlarged.

chest pain and dyspnea.

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Frontal and lateral views of the chest. Multiple support lines and tubes on prior are no longer visualized. The lungs are well expanded and clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is top normal. Median sternotomy wires and additional hardware are identified as well as mediastinal clips. Degenerative changes seen at the right shoulder.

<unk>-year-old female with chest pain.

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Frontal and lateral chest radiographs demonstrate low lung volumes, resulting in exaggeration of the cardiac silhouette. Allowing for this, the cardiomediastinal silhouette is likely within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. On lateral view, there are apparent diffuse increased opacities likely related to extremely low lung volumes. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a <unk>-year-old man with chest pain and shortness of breath.

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The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia. The left subclavian catheter extends to lower portion of the svc.

neutropenic fever.

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There is subdiaphragmatic free air underlying the left hemidiaphragm. Otherwise the lungs are well-expanded. There is interval increase in coarse interstitial markings. A tiny patchy opacity in the left lower lung, adjacent to the left cardiac margin is present. There is no pleural effusion. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with cough and unresponsive episode after vomiting. evaluate for pneumonia or any evidence of aspiration.

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Re- demonstrated are widespread calcified pleural plaques in the left hemi thorax. Fiducial seed projects over the lateral left upper lung with some opacity beneath, better assessed on ct. There is persistent blunting of the right costophrenic angle. No evidence of pneumothorax is seen. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.

history: <unk>m with recent fall, on coumadin // please eval for fracture, acute hemorrhage

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Right pectoral infusion port terminates in low svc. Lung volume is low. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.

<unk>m w/history of lymphoma p/w lightheadedness and blurry vision, please assess patient for intracranial involvement of lymphoma //

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The lungs are clear. The cardiac and mediastinal contours are normal. The trachea is calcified.

<unk>-year-old woman with fever and generalized weakness. evaluate for pneumonia.

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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.

<unk>-year-old female with chest pain for three days.

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Pa and lateral chest radiographs were provided. Compared to the prior radiograph there has been no significant change. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of pulmonary edema. Minimal atelectasis is present in the right lower lobe. The heart size is mildly prominent but stable. Calcification of the aortic arch is noted. The imaged upper abdomen is unremarkable. Bones are intact.

<unk>-year-old female with chf, copd cough and orthopnea. question chf versus pneumonia.

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Moderate cardiomegaly is a stable. The aorta is tortuous. . Aside from minimal retrocardiac atelectasis the lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine

<unk> year old woman with multiple myeloma, ckd and htn presenting with new cough, wbc, fever // interval change

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Frontal and lateral views demonstrate hyperexpanded lungs. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is mildly enlarged. There is no pulmonary edema. Aortic arch calcifications are again noted. Ill-defined bibasilar opacities are likely due to mild atelectasis and/or overlying soft tissues. There is diffuse osteopenia. Partially imaged upper abdomen is unremarkable.

elevated white blood cell count and fever.

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Suture material in the left upper lobe is consistent with history of blebectomy. Small post surgical fluid collection is noted surrounding left upper lung. There is no pneumothorax or consolidation. Cardiomediastinal silhouette is normal size and unchanged. Left chest tube is in unchanged position.

<unk> year old man with l ptx post blebectomy // check interval change, ct remains clamped

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Low lung volumes with right base atelectasis versus developing pneumonia. Small bilateral pleural effusions. Cholecystectomy clips. Calcified thoracic aorta. Heart size within normal. No pneumothorax. Mild interstitial prominence is noted. An ovoid focus overlying the right chest on frontal view measures <num>mm.

<unk> year old woman pod<num> with sacrospinous suspension, tvt, cystoscopy for vaginal prolapse with h/o lung nodules and new oxygen requirmement // please eval for pneumonia, effusion, pulm edema and interval change in lung nodules

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Left chest wall port is seen with catheter tip in the lower svc. Surgical clips project over the left axilla and right upper quadrant. No acute osseous abnormalities.

<unk>f with power port // placement of power port

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Unchanged right peripheral basal opacity adjacent to sites of prior rib fractures. This opacity is not definitively identified on the lateral radiograph. No new opacity/consolidation. Unchanged well-marginated calcifications, predominantly in the left upper lobe suggestive of calcified pleural plaques. The size of the cardiac silhouette is enlarged but unchanged. Calcification of the aortic arch and descending aorta is noted. The bones appear diffusely osteopenic and there is an exaggerated kyphosis of the thoracic spine.

<unk> year old man with olecranon fracture and etoh detox now with fever to <num> and cough with earlier portable that incompletely evaluated. // ? infiltrate

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Low lung volumes are noted with secondary crowding of the bronchovascular markings. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is deviation of the trachea at the left at the thoracic inlet. Degenerative changes are noted at the shoulders.

<unk>f with presyncope with ha, dizziness // eval for ich or pna

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Frontal and lateral views of the chest demonstrate normal lung volumes. Right lung base opacities slightly more conspicuous since prior. No pleural effusions, or pneumothorax is seen. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Mild right-sided healing rib fractures are redemonstrated.

altered mental status, assess for pneumonia.

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Frontal and lateral views of the chest demonstrate left-sided picc with tip in the mid svc. The cardiomediastinal silhouette appears normal. The lungs are well expanded and clear. There is no pneumothorax, vascular congestion, or pleural effusion. Grade iii right acromioclavicular separation and post surgical changes in the right clavicle are redemonstrated. The left acromioclavicular joint is incompletely imaged.

<unk>-year-old male status post craniotomy and wound abscess, on antibiotic treatment, presents with nausea, vomiting and lethargy as well as chills. question pneumonia or other acute process.

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The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.

<unk>f with cp s/o airbag deployment in mvc // eval acute process

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There is moderate cardiomegaly. Left chest wall dual lead pacing device is seen with lead tips in the right ventricle and right atrium. The lungs are clear where not obscured by overlying pacer. There is no effusion or edema. Old healed right superior rib fractures are identified. No acute osseous abnormalities.

<unk>f with chest pain // r/o pna

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Asymmetric interstitial pulmonary edema has slightly improved. Possible underlying lymphangitic carcinomatosis in right lung. Right middle and lower lobe airspace opacity have increased. There is an air-fluid level in the right mid hemithorax anteriorly, likely loculated hydro pneumothorax. The interstitial edema on the left lung has also improved. With a small left pleural effusion.

<unk> year old man with pleural effusion // eval

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The heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are within normal limits. Minimal streaky opacity in the retrocardiac region likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No frank pulmonary edema is demonstrated, though there is mild prominence of the pulmonary vascularity that could reflect minimal congestion, relatively similar compared to the prior exam. No acute osseous abnormalities are detected.

shortness of breath and cough.

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Right chest wall dual lead pacing device is again noted with tips in the right atrium and right ventricular apex. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

<unk>m with hx incarceration and hemotypsis // eval for cavitary lesion

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Streaky bibasilar opacities likely represent atelectasis. Since the prior radiograph of <unk> is slightly progressed particularly at the right lung base. No consolidation or pleural effusion. Heart size and mediastinal contours are normal.

<unk>f with ar, als, p/w presyncope with marked onset of dyspnea // infiltrates/ masses

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The cardiac, mediastinal and hilar contours are unremarkable. There is lung volumes are low. There is no pleural effusion or pneumothorax. Opacities at the lung bases are faint but greater on the right than left. Elsewhere, lungs appear clear.

cough. right upper quadrant pain and tenderness.

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Frontal lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.

uri and painful cough. rule out pneumonia.

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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.

evaluate for pneumonia in a patient with dyspnea.

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No significant interval change other than a small focal opacity in the right upper lobe which could represent a focal consolidation, mucous plugging, or areas of superimposed normal structures. No pleural effusion, edema, or pneumothorax. Cardiomediastinal silhouette is unchanged. Descending thoracic aorta calcifications are unchanged. Mild dextroconvex scoliosis of the thoracic spine is also unchanged. Moderate anterior osteophytes in the lower thoracic vertebral bodies are unchanged. An incidental azygous fissure is again noted. There is pectus excavatum.

<unk>-year-old man presenting with chest pain. evaluate for acute cardiopulmonary process.

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Mild cardiomegaly is overall stable compared to the prior exam. There is mild pulmonary vascular congestion with diffuse mild pulmonary edema. Hilar and mediastinal contours are otherwise unremarkable. Small bilateral pleural effusions are persistent. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. Severe emphysematous changes are also again redemonstrated at the bases of the lungs.

history: <unk>m with orthopnea // ?pulm edema

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Pa and lateral chest radiographs demonstrate marked improvement of pulmonary edema with asymmetric residual opacities in the left perihilar region. There are persistent bilateral pleural effusions, moderate on the left and mild on the right as well as associated left lower lobe atelectasis. Median sternotomy wires and cabg clips are noted. The heart size is normal. There is no pneumothorax.

pulmonary edema identified on <unk>. evaluation for resolution.

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As compared to the previous radiograph, the size of the cardiac silhouette has increased. There is a general bilateral increase of interstitial markings and the lateral radiograph shows subtle fluid markings of the interstitium. There are no air bronchograms or pleural effusions. The hilar structures are borderline in diameter. Overall, the image is suggestive of mild-to-moderate interstitial pulmonary edema. No additional areas of consolidation, evocative of pneumonia, are visible on the radiograph. No pneumothorax.

copd, leukopenia, questionable infection.

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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.

<unk>m with chest pressure, sob, lightheaded after endoscopy on <unk>.

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Cardiomediastinal contours are stable. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable

<unk> year old woman with asthma that has recently started smoking cocaine and has worsening asthma // ? any acute abnormality

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Vague opacity in the mid-to-upper lung zone, best appreciated on the frontal view was potentially present on the prior study. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are unremarkable.

chest pain, evaluate for pneumonia.

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Chest, pa and lateral. Aside from left lower lobe atelectasis or scarring, the lungs are clear. Lung volumes are low. The hilar and mediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.

fever and chills.

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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.

<unk>f with chest pain. eval for pneumothorax.

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The lungs are clear without focal consolidation, effusion, or vascular congestion. Cardiac silhouette is top-normal in size. Median sternotomy wires and coronary artery stents are identified. No acute osseous abnormalities.

<unk>m with chest pain // eval infiltrate, cardiomegaly

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Patient has lung hyperinflation compatible with copd. Mild pulmonary vessel cephalization with new minimal bilateral pleural effusion is compatible with new pulmonary edema. The heart contour is mildly enlarged and unchanged. There is no pneumothorax. Bibasilar opacities are also new and could be compatible with dependent edema, infectious process, or aspiration or even atelectasis.

patient with pneumonia.

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Frontal and lateral views of the chest. Again seen is elevation of the right hemidiaphragm with persistent right basilar opacities suggestive of atelectasis with possible trace effusion. The lungs are otherwise grossly clear. Faint opacities compatible with old healed rib fractures seen overlying the posterior right fourth, fifth and seventh ribs as well as the left anterior third ribs. There is no overt pulmonary edema. Cardiomegaly is unchanged from prior. Median sternotomy wires and aortic valve replacement again noted. Right subclavian vascular stent is also seen.

<unk>-year-old male with dyspnea.

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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.

history: <unk>f with chest pain // eval for acute process

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Frontal and lateral chest radiographs demonstrate an aicd device with leads in appropriate position, unchanged from the prior study. Moderate-to-severe cardiomegaly is unchanged. Lungs are notable for mild pulmonary edema without focal areas of consolidation. There is no large pleural effusion or pneumothorax.

recent pacer, hematocrit drop. evaluate for acute process.

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There is a left basilar retrocardiac opacity which obscures the left heart border. This may reflect atelectasis, though a consolidation due to infection or aspiration is not excluded. Otherwise, the lungs are clear without pleural effusion, pneumothorax or pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are normal. Cervical spinal fusion hardware is partially visualized.

<unk>-year-old man with cough and congestion on immunosuppression. evaluate for pneumonia.

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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is borderline in size, stable to possibly minimally increased as compared to the prior study. No pulmonary edema is seen.

history: <unk>m with sickle cell crisis // please evaluate for pulm pathology

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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.

chest pain.

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Interval chest tube removal. Small left apical pneumothorax, stable. Suggestion of small left costophrenic angle pneumothorax, similar to better seen. Sternotomy. Right ij central line in place. Small right pleural effusion. Bibasilar opacities, likely atelectasis, improved. Shallow inspiration accentuates heart size, pulmonary vascularity.

<unk> year old woman s/p ct pull // eval for ptx

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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. Old right-sided rib fractures are again noted.

chest pain.